Welcome to our
Pre-Approval
for financing form

Note: If you are "Not"
the the only primary applicant
for pre-approval
of financing please go back
and choose Form # 2
Rent To Own Leasing Co., Inc.
Dial up access modems please click on the home icon so your connection will not time out while filling in your Pre-Approval
 refresh
Rent To Own Leasing Co., Inc.
Pre-Approval Application
This form is for the
"Primary Applicant Only"

"ALL FIELDS ARE REQUIRED"

 

Prospective Home Address: DATE (MM/DD/YYYY):
APPLICANT QUESTIONS
APPLICANT ANSWER
Your Full Name:
(First,MI,Last)
Social Security No.
Date of Birth (MM/DD/YYYY)
Home Phone# (Please include area code)
Work Phone# (Please include area code)
Current Address:
City, State, Zip: (Please seperate with a comma)
Previous Address:
City, State, Zip: (Please seperate with a comma)
Current Email Address:
Current Landlord or Apt. Complex Name:
Current Monthly Payment:
How Long Have You Lived At Your Current Address? Years and Months:
APPLICANT QUESTIONS
APPLICANT ANSWER
Who Is Your Current Employer:
Current Employer Address:
Current Employer Phone# (Please include area code)
How Long Employed At Current Employer?
What Is Your Current Job Position?:
What Is Your Gross Monthly Income:
Who Was Your Previous Employer:
What Was Your Previous Employers Address?:
Your Previous Employer's Phone# (Please include area code)
How Long Were You Employed There?
What Was Your Job Position?:
APPLICANT QUESTIONS
APPLICANT ANSWER
Do You Have A Checking Account? YES NO
What Is Your Current Balance?
Do You Have A Savings Account? YES NO
What Is Your Current Balance?
Please Provide Your Bank Name(s):
(one per line)
Do You Have Any Additional Income?: (If yes, how much per month?)
Dependents By Age:
(one per line)
Do You Recieve Child Support And/Or Alimony? YES NO
If Yes, How Much Do You Recieve?
 
APPLICANT
APPLICANT QUESTIONS
Payments/Debts
What Is Your Current Payment $ Per Month Total? (cars,trucks,furniture,electronics, etc;)
How Much Do You Still Owe Balance:
What Company / Type Of Payment:
(one per line)
Additional Applicant Questions
Applicant Answer
Marital Status:
Married Single Divorced
How many bedrooms would you like?
How did you hear about us?
Do you have any outstanding........
Please Check all that apply for a yes answer.
Judgements?
Lawsuits?
Tax Liens?
Have you ever.....

Filed Bankruptcy?
WHEN?

Had Property Forclosed?
WHEN?

Been Evicted?
WHEN?

Had a reposession?
WHEN?

.APPLICANT QUESTIONS
APPLICANT ANSWER
Do you pay Child Support? YES NO
Amount? (per month)
Do you pay Alimony? YES NO
Amount? (per month)
Do you own any Real Estate? YES NO
If Yes, Where and What?
 

If you have any questions or comments that you feel would help us better evaluate your current financial status please enter them here.
 
I HEREBY CERTIFY THAT THE ANSWERS I HAVE GIVEN IN THIS APPLICATION ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY FALSE ANSWERS OR STATEMENTS MADE BY ME WILL BE SUFFICIENT GROUNDS FOR EVICTION AND LOSS OF ANY SECURITY DEPOSIT. I AGREE TO PAY A NON-REFUNDABLE APPLICATION FEE OF $10.00 FOR EACH APPLICANT. I AUTHORIZE VERIFICATION OF THE FOREGOING INFORMATION AND THE OBTAINING OF A CONSUMER CREDIT REPORT.
 
APPLICANT SIGNATURE (FULL NAME): DATE: (MM/DD/YYYY):
 
 
All information provided is used to process your pre-approval for the home you have chosen for financial purposes only. Rent To Own Leasing Co., Inc. Does not distribute,sell or give anyone your provided information. The sole purpose of this Pre-Approval form is for credit history, given only to a regulated financial institution.
Form Copyright© SoGraphic 2001-2005


©Rent To Own Leasing Co., Inc.